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A Practical Guide to Serious Incident Investigation & Learning

Friday 13 Sep 2019

De Vere West One Conference Centre, London

Follow the conference on Twitter #NHSSeriousIncidents

“We all make mistakes. We should strive to avoid them, of course, but the fact of a mistake isn’t the biggest problem. It’s how we respond to them and how we learn from them, that’s what’s most important. And we must never let our fear of the consequences, stop us from doing the right thing.”

Secretary of State for Health and Social Care Matt Hancock February 2019

“We know there are problems, for example, with how incidents are investigated and learned from. In our recent engagement to find out how we can improve the Serious Incident framework, people told us they were concerned about: providers’ lack of capability and capacity to carry out good quality investigations; the tendency to use investigation for the wrong purposes; the generally poor approach to patient and family involvement; and the fact that actions to reduce risks after the completion of an investigation are too often ineffective. We know from the Care Quality Commission’s (CQC’s) review of how the NHS responds to and learns from the care provided to patients who die that too often problems with care are not identified and the bereaved, who may have concerns, are not sufficiently supported.”

NHS Improvement December 2018

This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the New Patient Safety Incident Response Framework (previously know as the Serious Incident Framework) which was released in July 2019, and the implications for serious incident investigation. The conference will update delegates on the National Learning from Deaths guidance and implementation in practice. There will be a focus on learning from serious incidents, ensuring the investigation findings lead to change and improvement.

This conference will enable you to:

  • Network with colleagues who are working to improve the investigation of serious incidents
  • Learn from outstanding practice in the development of serious incident investigation and mortality review
  • Reflect on the perspectives of bereaved families and carers and understand how you can engage them and recognise their insights as a vital source of learning in line with the National Guidance
  • Update your knowledge with national developments including the July 2019 Patient Safety Incident Response Framework
  • Reflect on the development of mortality governance within your organization
  • Understand how to work with staff to ensure a focus on learning and continuous improvement
  • Develop your skills in Serious Incident Investigation: applying the serious incident framework and using skilled analysis to move the focus of investigation from acts or omissions of staff, to identifying the underlying causes of the incident
  • Identify key strategies for improving investigation of serious incidents
  • Gain CPD accreditation points contributing to professional development and revalidation evidence

Chair and Speakers Include:

Dr Sanjay Arya

Medical Director
Wrightington Wigan & Leigh NHS Foundation Trust

Mr Neil Pearce

Associate Medical Director for Patient Safety
Southampton Univeristy Hospital NHS Foundation Trust

Mr Khosrow Sehat

Consultant Trauma & Orthopaedic Surgeon
Nottingham University Hospital NHS Trust

Ms Nichola Crust

National Investigator

Exhibition & Sponsorship Packages

This conference offers a valuable opportunity for industry suppliers to personally meet with their target audience away from their workplace in an intimate environment where they will have time to talk and demonstrate the benefits of their products. High quality specialist audiences make having a presence at our events, whether it be a sponsored session, or an exhibition stand, a highly targeted and cost effective marketing channel.

Why Exhibit?

Having a presence at this event will give you the opportunity to:

  • Demonstrate your product, system or service
  • Network and engage face to face with your key audience
  • Generate new business leads
  • Gain exposure for your brand and raise the profile of your organisation
  • Understand the current needs of your audience and challenges they’re facing
  • Update your knowledge of national policy and local developments  


Contact katiej@hc-uk.org.uk for prices and further information, or to discuss a tailored package to suit your needs and budget.

Getting to the Venue

De Vere West One is located on Portland Street and is a 10 minute walk for Great Portland Street Underground station and a 5 minute walk from Oxford Circus
By Rail
De Vere West One is just a five minutes’ walk from Oxford Circus tube (Central, Victoria, and Bakerloo), Bond street (Jubilee) and a 10 minute walk from Great Portland Street tube (Circle, Hammersmith & City and Metropolitan) and Marylebone station.
By Road
Portland Place is just north of Oxford Circus. The nearest NCP car park is approximately 300 yards away. Follow the A4201 past De Vere West One taking the second left turning onto Weymouth Street, then take the second left onto Weymouth Mews.
Google Map

Fee Options

NHS, Social Care, Private Healthcare Organisations & Universities



Voluntary sector & charities



Commercial organisations



(Prices in brackets include VAT)


Additional delegate discount:

A discount of 15% will be applied to fees for any extra delegates.

Online discount:

A discount of 10% will be applied if you pay using the website.

Also of Interest

Investigation of Deaths & Serious Incidents in Mental Health Services
Monday 16 Sep 2019
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NHS Complaints Summit 2019
Monday 23 Sep 2019
De Vere West One Conference Centre, London
Root Cause Analysis: 2 Day Intensive Training Course
Choice of Dates
De Vere West One Conference Centre, London

Supporting Organisations